Obsessive-compulsive (anankastic) personality disorder: toward the ICD-11 classification
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
;
36(supl.1): 40-50, 2014. tab
Article
in English
| LILACS
| ID: lil-727711
ABSTRACT
Obsessive-compulsive personality disorder (OCPD) is an early-onset disorder characterized by perfectionism, need for control, and cognitive rigidity. Its nosological status is currently under review. Historically, OCPD has been conceptualized as bearing a close relationship with obsessive-compulsive disorder (OCD). In this article, we discuss the diagnosis of OCPD in anticipation of its review for the ICD-11, from the perspective of clinical utility, global applicability, and research planning. Considering the recent establishment of an obsessive-compulsive and related disorders (OCRD) category in DSM-5, we focus on the relationship between OCPD and the disorders that are currently thought to bear a close relationship with OCD, including DSM-5 OCRD, and other compulsive disorders such as eating disorder and autistic spectrum disorder (that were not included in the DSM-5 OCRD category), as well as with the personality disorders, focusing on nosological determinants such as phenomenology, course of illness, heritability, environmental risk factors, comorbidity, neurocognitive endophenotypes, and treatment response. Based on this analysis, we attempt to draw conclusions as to its optimal placement in diagnostic systems and draw attention to key research questions that could be explored in field trials.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
International Classification of Diseases
/
Compulsive Personality Disorder
/
Diagnostic and Statistical Manual of Mental Disorders
/
Obsessive-Compulsive Disorder
Type of study:
Controlled clinical trial
/
Prognostic study
/
Qualitative research
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
Journal subject:
Psychiatry
Year:
2014
Type:
Article
Affiliation country:
United kingdom
Institution/Affiliation country:
Queen Elizabeth II Hospital/GB
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